The whole system is incredibly f'ed up by bureaucracy because no one pays for themselves.
Healthcare costs are subsidized at a 90% rate on average in the U.S. That is, only 10% of health costs are paid out of pocket by the healthcare consumer.
Now, think about any other thing you buy in your life. How f'ed up would your demand for a product be if it was subsidized at a 90% rate? If a Lambo cost went from $200,000 to $20,000, the question won't be "When Lambo" it will be "How many Lambo".
The need for things like PBM is because of this f'ed up system.
The whole system is incredibly f'ed up by bureaucracy because no one pays for themselves.
Healthcare costs are subsidized at a 90% rate on average in the U.S. That is, only 10% of health costs are paid out of pocket by the healthcare consumer.
Now, think about any other thing you buy in your life. How f'ed up would your demand for a product be if it was subsidized at a 90% rate? If a Lambo cost went from $200,000 to $20,000, the question won't be "When Lambo" it will be "How many Lambo".
The need for things like PBM is because of this f'ed up system.